Complex Claims Specialist-MPL

Job Type:

Build a brilliant future with Hiscox
 

Individual contributor role responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution. This involves the negotiation and settlement of Miscellaneous Professional Liability insurance claims. May be responsible for single or multi-country claims and will be responsible for all aspects of the claims, including liaise with external and internal business partners (e.g., outside experts and/or or legal counsel; underwriting) as required.

Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.

Please note that this position is hybrid and requires two (2) days in office weekly. Position can be based in the following locations:

• Manhattan, NY

• West Hartford, CT

• Atlanta, GA

• Chicago, IL

• Boston, MA

The Role:

The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:

• Adjusts and resolves complex to severe claims that includes all phases of litigation

• With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters

• Reviews and analyses claim documentation and legal filings

• Drives litigation best practices to lead defense strategy on litigated files

• Mentors Claim Examiners

• Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions

• Identifies emerging exposures and claims trends

• Identifies suspected fraudulent claims and tracks with special investigations unit

• Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities

• Develops content and conducts training for claims team and underwriters as requested

The Team:      

The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox’s strong brand built on a long history of outstanding claims handling.

Requirements:

• 8+ years of claims handling experience or 7-8 years litigation experience. (A JD from an ABA accredited law school may be considered as a supplement to claims handling experience.)

• Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation

• Advanced knowledge of coverage within the team’s specialty or focus

• Advanced knowledge of litigation process and negotiation skills

• Experience in mentoring and training other claims examiners

• Excellent verbal and written communication skills

• Advanced analytical skills

• B.A./B.S degree from an accredited College or University preferred

Additional Factors Considered:

• Ability to act a subject matter expert within team

• Demonstrated ability to work with minimal oversight

• Experience attending and leading mediations, arbitrations and trials

• Demonstrated ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects

• Demonstrates courage in addressing and solving difficult or complex matters with insureds, attorneys and brokers

• Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation

• Commitment to professional development and learning demonstrated by at least 5 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars.

What Hiscox USA offers:

• 401(k) with competitive company matching 

• Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)  

• Company paid group term life, short- term disability and long-term disability coverage 

• 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days 

• Paid parental leave 

• 4-week paid sabbatical after every 5 years of service 

• Financial Adoption Assistance and Medical Travel Reimbursement Programs 

• Annual reimbursement up to $600 for health club membership or fees associated with any fitness program 

• Company paid subscription to Headspace to support employees’ mental health and wellbeing 

• 2023 Gold level recipient of Cigna’s Healthy Workforce Designation for having a best-in-class health and wellness program 

• Dynamic, creative and values-driven culture 

• Modern and open office spaces, complimentary drinks 

• Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation 

About Hiscox USA:

Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.

Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.

Diversity and flexible working at Hiscox:

At Hiscox we care about our people. We hire the best people for the job and we’re committed to diversity and creating a truly inclusive culture, which we believe drives success. We also understand that working life doesn’t always have to be ‘nine to five’ and we support flexible working wherever we can. No promises, but please chat to our resourcing team about the flexibility we could offer for this role.

You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)

Salary range: $125,000-$155,000

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

#LI-RM1

Work with amazing people and be part of a unique culture